| NPI | 1336504430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN KAUFER Owner 503-239-3915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR CO505) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |